Caloric Intake Relative to Total Daily Energy Expenditure Using a Spinal Cord Injury-Specific Correction Factor: An Analysis by Level of Injury.
Gary J Farkas, Ashraf S Gorgey, David R Dolbow and 2 others
PMID 30817378WHAT IT FOUND
People with cervical spinal cord injury showed higher calorie intake per bodyweight and higher trunk fat than those with lower-level injury.
People with lower-level injury showed higher energy expenditure and lean mass. The able-bodied factor gave higher estimated energy expenditure than the injury-specific factor.
Key findings
01In 41 adults with chronic motor complete spinal cord injury, cervical injury had significantly higher total calorie, fat, and protein intake per bodyweight than lower-level injury.
02Lower-level injury had significantly greater basal metabolic rate, estimated total daily energy expenditure, lean body mass, and bone mineral content than cervical injury.
03The difference in estimated total daily energy expenditure between the able-bodied factor of 1.2 and the proposed spinal cord injury factor of 1.15 was 77.7 kcal/day for lower-level injury and 63.8 kcal/day for cervical injury.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Food intake was self-reported and may have been underreported. There was no able-bodied control group. The cervical injury group and female participants were small, so some real differences may have been missed. Total daily energy expenditure was estimated from basal metabolic rate, not measured directly. The injury-specific factor of 1.15 was not validated or tested for reliability.
Declared interests
The authors declare no financial or other conflicts of interest. The article is listed as supported by N.I.H. extramural and U.S. Government non-P.H.S. research support.
The easy way to misread this
Do not treat the proposed injury-specific factor as a validated calorie prescription. It was not validated, and total daily energy expenditure was estimated rather than measured.